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在Nd:YAG激光囊切除和前段光学连贯性断层扫描分析后,眼内压力增加

Ali Keles¹, Suleyman Korhan Karaman²

¹Department of Ophthalmology, Faculty of Medicine, Bilecik Seyh Edebali University, 11230, Bilecik, Turkey. alikeles06@gmail.com.

Lasers in medical science

|December 22, 2023

概括

在Neodymium:伊-石榴石 (Nd:YAG) 激光囊切除术后,眼内压力 (IOP) 可能会暂时增加,特别是在眼睛前腔角窄的眼睛 (ACA). 建议在手术后的第一小时对这些患者进行密切监测.

科学领域:

眼科医生眼科眼科
医疗光学医学光学

背景情况:

后囊变暗是白内障手术后的一个常见并发症.
新:伊-石榴石 (Nd:YAG) 激光囊切除术是一种治疗后囊变暗的标准手术.
术后眼内压力 (IOP) 峰值是一个潜在的问题.

研究的目的:

为了研究前腔室角度 (ACA) 配置和Nd:YAG激光囊切除术后IOP增加之间的关联.
为了确定激光囊切除术后IOP升高的危险因素.

主要方法:

对51只接受Nd:YAG激光囊切除术的眼睛进行前性研究.
前段光学连贯断层扫描 (AS-OCT) 用于测量ACA和角度开口距离 (AOD500,AOD750).
在手术前和手术后1小时,1天,3天和7天测量了IOP.

主要成果:

只有在Nd:YAG激光囊切除术 (p=0.016) 后1小时才观察到显著的内压增加.
眼睛的ACA<40°显示显著的IOP增加在手术后1小时 (p=0.025鼻子,p=0.032时间).
在以后的时间点或在眼睛中ACA>=40°时,没有发现显著的IOP变化或与ACA/AOD值的相关性.

结论:

在Nd:YAG激光囊切除术后的第一个小时内,可以发生暂时的内血压升高.
较窄的前腔角 (ACA < 40°) 与这种短暂的内膜压力增加的风险更高.
对于接受Nd:YAG激光囊切除的患有狭窄ACA的患者,建议在第一小时进行监测.

关键词:

前腔室的角度是前腔室的角度前段光学连贯性断层扫描前段光学连贯性断层扫描眼内压力眼内压力 Nd:YAG激光囊切除术是一种激光囊切除术.

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